Individual
KATHARINE VAN FOSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-6097
(855) 818-4732
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6097
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
42284-20
WI
207V00000X
Obstetrics & Gynecology Physician
ME175628
FL
208M00000X
Hospitalist Physician
Primary
ME175628
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127896100
—
FL
05
—
33336700
—
WI
Enumeration date
02/22/2006
Last updated
02/18/2026
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